1/ How did Denmark get 95% of people 50+ fully vaccinated?
"citizens’ high and stable trust in their health authorities has been a crucial factor"
"lack of trust in authorities... is one of the primary reasons people refuse to get vaccinated"
2/ "transparent communication about all features of vaccines—including the negative ones—is key to sustain trust, even if in the short run it reduces vaccine acceptance" washingtonpost.com/politics/2021/…
3/ "trust between citizens and the authorities ideally runs both ways, as authorities need to trust that citizens can weather bad news and still make responsible decisions" washingtonpost.com/politics/2021/…
4/ "Danish authorities promoted compliance with testing and other covid-19 guidelines as a moral obligation — to put it simply, as the right thing to do for each other, building upon the collective approach to beating the pandemic" washingtonpost.com/politics/2021/…
5/ "Moralized issues can backfire and lead to conflict, which can easily spiral into shaming & condemnation from both sides"
"did not appear to resort to blaming & shaming to keep each other in line. ...didn’t take it upon themselves to police others" washingtonpost.com/politics/2021/…
6/ "One of the main threats to a collective project is partisan bickering, which often starts among the elites and then trickles down to the broader public" washingtonpost.com/politics/2021/…
7/ "common understanding was facilitated by a general commitment among political elites to follow the science" washingtonpost.com/politics/2021/…
8/ "high compliance & support has made restrictions softer & made them seem meaningful, lowering this burden. ...have suffered less during the pandemic & perceived mass testing & coronavirus passports as tools for protecting each other" washingtonpost.com/politics/2021/…
9/ In summary:
- Citizens trusting authorities
- Authorities trusting citizens
- Transparency, even when news is bad
- Doing the right thing for each other, but not blaming/shaming
- Elites commitment to following science
- Buffering the social/economic burden of restrictions
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2/ In states with a high incidence of the Delta variant, vaccine effectiveness in June/July 2021:
~80% vs *any* diagnosis of COVID
~85% vs hospitalization from COVID
1/ The decision to not get vaccinated, from the perspective of the unvaccinated
by @davidlazer & colleagues osf.io/fazup/
Life constraints
Perception of benefit
Perception of risk
Uncertainty regarding the risks of vaxx
Lack of trust in institutions
Fear of needles
2/ About 2/3 of respondents had already gotten at least 1 dose of vaccine.
15% willing to get vaccinated.
But 18% won't get vaccinated.
3/ Among those not yet vaccinated, here are their reasons for not getting vaccinated:
#1, #2 They are worried about the risks of vaccination.
#3 Lack of trust in institutions (eg gov't, healthcare)
#4 Don't see much of an upside (ie don't think they're at risk for COVID)
2/ There is good evidence to back additional doses of COVID vaccine for:
- HIGHLY immunocompromised
- Elderly
AND
- Nursing home residents
- Single-dose J&J recipients
BUT NOT for the general public at this time.
3/ We need to be thinking about the endgame, otherwise, we could find ourselves in a situation like Israel, chasing our tail with booster after booster: